| Russell Alan Wiglesworth, PT | |
|
15455 S Rogers Rd, Olathe, KS 66062-3497 | |
| (913) 254-0568 | |
| (913) 254-0854 |
| Full Name | Russell Alan Wiglesworth |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 15455 S Rogers Rd, Olathe, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619921137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | R0956 (Missouri) | Secondary |
| 225100000X | Physical Therapist | 11-00821 (Kansas) | Primary |
| Provider Name | Arc Physical Therapy Plus Lp |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1851715353 PECOS PAC ID: 6204050453 Enrollment ID: O20140613000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Russell Alan Wiglesworth, PT Po Box 219297, Kansas City, MO 64121-9297 Ph: () - | Russell Alan Wiglesworth, PT 15455 S Rogers Rd, Olathe, KS 66062-3497 Ph: (913) 254-0568 |
Dr. Mckayla Knudson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12452 S Gallery St, Olathe, KS 66062 Phone: 913-399-6707 Fax: 816-600-0349 | |
Serc - Olathe Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12755 S Mur Len Rd, Ste B1, Olathe, KS 66062 Phone: 913-782-8729 Fax: 913-782-7209 | |
Annette Christine Redhair, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 21250 W 151st St, Olathe, KS 66061 Phone: 316-516-2773 Fax: 407-200-8847 | |
Pelvic Connection Physical Therapy And Wellness Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 130 N Cherry St Ste 203, Olathe, KS 66061 Phone: 913-423-2660 Fax: 913-498-9646 | |
Stephanie Bessery-nichols, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16134 S Laurelwood St, Olathe, KS 66062 Phone: 913-909-5529 | |
Mrs. Mistie Linn Yearout, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11970 S Blackbob Rd, Suite 100, Olathe, KS 66062 Phone: 913-393-0992 | |
Sharon Anne Ryan, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1315 S Fountain Dr, Olathe, KS 66061 Phone: 913-829-3133 Fax: 913-829-6011 |